SAMUEL OBICHI (NPI# 1780095406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780095406 |
| Entity Type | Individual |
| Full Name | SAMUEL OBICHI |
| Practice Address |
2105 Mesa Valley Way Austell GA 30106-8183 |
| Practice Telephone | 4048224505 |
| Mailing Telephone | 4048224505 |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 021536 | GA | Pharmacy Service Providers |
| Street Address |
2105 MESA VALLEY WAY |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-8183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154748838 | Uzo Okeke | Pharmacist | 5115 Jones Rd, Austell, GA 30106-2844 | 2014-03-19 |
| 1639478225 | Michelle L Hill-collier | Pharmacist | 4930 Austell Rd, Austell, GA 30106-2006 | 2011-03-22 |
| 1447586565 | Tennille Monica Mcgee | Pharmacist | 7206 Gold Mine Ave, Austell, GA 30168-7485 | 2009-10-23 |
| 1598990111 | Mudasiru Adetoyese Oyewumi | Pharmacist | 2703 Eloquent Ln, Austell, GA 30106-8026 | 2009-05-27 |
| 1952303455 | Leisa L Marshall | Pharmacist | 2000 E West Connector, Austell, GA 30106-1194 | 2005-08-15 |
| 1992706915 | Janice Wynell Carlile | Pharmacist | 3875 Austell Rd, Suite 302, Austell, GA 30106-1103 | 2005-08-02 |
| 1326648742 | Brijeshbhai Patel | Pharmacist | 1133 E West Connector, Austell, GA 30106-1779 | 2020-10-26 |
| 1386288280 | Karen L Taylor | Pharmacist | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-11-04 |
| 1649763137 | Lakisha Michelle Hamilton | Pharmacist | 3950 Austell Rd, Austell, GA 30106-1121 | 2018-06-11 |
| 1982192795 | Ryan M Chavers | Pharmacist | 2704 Jefferson St, Austell, GA 30168-4014 | 2018-04-26 |
| Find all providers in AUSTELL | ||||
Please comment or provide details below to improve the information on SAMUEL OBICHI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.